Form Com/rad-Att-622 - Cigarette Bond

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Comptroller of Maryland
OFFICE USE ONLY
Revenue Administration Division
Licensing and Registration
Approved_____________
P. O. Box 2999
Annapolis, MD 21404-2999
Date_________________
Phone: 410-260-7980 - Toll-Free: 888-784-0142
Fax: 410-974-3201
Bond #_______________
Cigarette Bond
KNOW ALL PERSONS BY THESE PRESENTS, that we ____________________________________________________
_______________________, hereinafter called the Principal, and ____________________________________________
_______________________, an entity incorporated under the laws of the state of __________________________________
and duly licensed to do business under the laws of the State of Maryland, hereinafter called the Surety, are held and firmly
bound unto the State of Maryland in the full and just sum of _______________________________________________
___________________________ DOLLARS, lawful money of the United States of America, to be paid to upon demand
to the said State of Maryland, or its assigns, to which payment well and truly to be made and done we bind ourselves, our
heirs, personal representatives, administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, under the provisions of Tax-General Article, §13-825, Annotated Code of Maryland, the above bounded
Principal, upon filing an application for a license to engage in the business of selling cigarettes in the State of Maryland as
a “manufacturer” or “wholesaler” as defined in Business Regulation Article, Title 16, Annotated Code of Maryland, is
required to file concurrently therewith a bond of the character stipulated and in the amount provided for therein, which bond
shall be filed with the Comptroller of Maryland.
NOW, THEREFORE, the conditions of this obligation is such, that if the above bounded Principal shall promptly file true
returns and reports with the Comptroller of the State of Maryland as required by law, and shall well and truly pay to the
Comptroller any and all tobacco taxes as they become due which are now or may hereafter be levied or imposed by the State
of Maryland, together with any and all penalties and interest thereon, and shall faithfully comply with all the provisions of
the Tax-General Article, Title 12 and Title 13, Annotated Code of Maryland, and all amendments thereof, then this
obligation to be void, otherwise to remain in full force and effect. This bond shall remain in full force and effect until
cancelled in accordance with the provisions of the Tax-General Article. Any cancellation of this bond shall not affect any
liability incurred or accrued prior to the termination date.
In witness whereof the said Principal has hereunto set its hand and seal and the Surety has caused this instrument
to be executed in its name and on its behalf this __________ day of __________________, 20_______.
____________________________________
____________________________________
Name of Surety
Name of Principal
(Licensee)
____________________________________
____________________________________
Signature
Signature of Owner, Partner, or Officer
Attest: ______________________________
____________________________________
Witness
Witness
NOTE: CANCELLATION OF THIS BOND REQUIRES A 60-DAY NOTICE
COM/RAD-ATT-622 Rev. 3/11

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